Individual provider Active NPI

Karen Anne Sherwood, M.D.

  • Dermatopathology Physician
  • La Canada, CA
National Provider Identifier
1386646503
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A42560 Issued in CA
Practice address
1346 Foothill Blvd
Ste 203
La Canada, CA 91011-2141
Phone
(818) 790-6726
Fax
(818) 790-9562
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X A42560 CA Primary

Addresses

Primary practice location

1346 Foothill Blvd
Ste 203
La Canada, CA 91011-2141

Mailing address

1346 Foothill Blvd
Ste 203
La Canada, CA 91011-2141
Phone (818) 790-6726

Other identifiers 3

IdentifierTypeStateIssuer
00A425600MedicaidCA
070008086OtherCHAMPUS
ZZZ15744ZOtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000656 CA Practitioner - Dermatology 1658401245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Descanso Dermatology Medical GroupGroup PAC ID 4587794177, 4 clinicians

Practice addresses (Care Compare)

1346 Foothill Blvd
Suite 203
La Canada, CA 91011-2141
Phone (818) 790-6726

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions1016
Removal or shaving of skin growth1-10
Skin biopsy218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42560CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Descanso Dermatology Medical Group Dermatopathology CurrentSince Jan 1, 1989 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Jan 1, 1996 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1346 Foothill Blvd
Ste 203
La Canada Flt, CA 91011
Phone (818) 790-6726

4650 W Sunset Blvd
Stop 76
Los Angeles, CA 90027
Phone (323) 361-6161

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

4650 W Sunset Blvd
#76
Los Angeles, CA 90027
Phone (323) 669-2113

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1386646503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "STE 203",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112141",
            "telephone_number": "818-790-6726",
            "fax_number": "818-790-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "STE 203",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112141",
            "telephone_number": "818-790-6726",
            "fax_number": "818-790-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A42560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "070008086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ15744Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

Verify at the official NPI Registry.